Individual
DIANNE HEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 UPTOWN BLVD NE STE 140, ALBUQUERQUE, NM 87110-4157
(505) 305-4949
Mailing address
4001 OFFICE COURT DR STE 602, SANTA FE, NM 87507-4929
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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